Key clinical point: Cardiac stress testing before knee and hip replacement surgeries declined steadily from 2006 to 2014.
Major finding: Rates of cardiac complications in patients with risk factors did not differ between those who were stress tested and those who weren't.
Study details: Records from 801,396 knee or hip arthroplasties in the MarketScan database between 2004 and 2017.
Disclosures: Dr. Rubin is the president of DRDR Mobile Health, a company that creates mobile applications for health care and from which he has not received compensation. One of his coauthors on the study, Dr. Peter Nagele, reported fee income from Roche Diagnostics.